Gateway Detroit
Gateway Detroit is a Preferred Provider Organization in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
Practice location Address checks out
11457 Shoemaker StDetroit, MI 48213-3418
Phone: (313) 331-3435
Fax: (313) 924-0609
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 6803086187 (MI) |
|---|
Record details
| NPI number | 1831508522 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Gateway |
| Authorized official | Frederick Carr — Social Worker/Case Manager · (313) 331-3435 |
| NPI enumerated | August 6, 2014 |
| Last updated in NPPES | August 6, 2014 |
| Mailing address | 11457 Shoemaker St, Detroit, MI 48213-3418 |
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